Clinical and radiological results of posterior ankle endoscopy treatment for the flexor hallusis longus tenosynovitis and os trigonum syndrome

Murat Saylık

Makale detayları

Clinical and radiological results of posterior ankle endoscopy treatment for the flexor hallusis longus tenosynovitis and os trigonum syndrome

Yazarlar:

Murat Saylık

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Orthopaedics

Dergi:

The European Research Journal Vol.9 Issue 1, pp.155-163

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001281614

pISSN:

2149-3189

Anahtar kelimeler:

Özet:

 Objectives: This study investigated the effect of two portal posterior ankle arthroscopy PAA procedures using American Orthopaedic Foot and Ankle Society AOFAS and Visual Analog Scale VAS scores for the treatment of patients with ankle pain associated with Os trigonum OT and Flexor hallusis longus FHL tenosynovitis. The effect of PAA treatment on the degree and localization of effusion around the FHL tendon was also investigated. Methods: Between March 2016 and August 2021, 41 patients who underwent PAA with the diagnosis of OT and stenosing FHL tenosynovitis, whose arthroscopy video records could be reviewed retrospectively, and who had at least 1 year of follow-up results were included in the study. Patients in the pediatric age group, diabetes patients, patients with inflammatory disease, and those with subtalar and tibiotalar osteoarthritis were excluded from the study. Preoperative and postoperative physical examinations, lateral radiography of the pressing foot, MRI, and the VAS and AOFAS scores were evaluated. In the statistical analysis, data were statistically analyzed using SPSS 19.0 SPSS, Chicago, Illinois, USA. p  0.05 was accepted as statistically significant. Results: The mean age was 35.6 years range: 19-55, among which the mean age of the women was 36.2 years range: 24-48, and the mean age of the men was 35.2 years range: 19-55. The mean follow-up was 34 months range: 14-62. The AOFAS value increased from 38.61  7.176 preoperatively to 89.83  6.34 at the postoperative follow-up, and the difference was statistically significant  p  0.001. Five patients fully regained their normal function AOFAS score  100 points. The VAS value increased from 90  5.916 preoperatively to 18.682  7.688 at the last postoperative follow-up, and the difference was statistically significant  p  0.001. Pre-PAA FHL tenosynovitis was seen only in zone 1 in 26 patients, zones 1 and 2 in 14 patients, and in zones 1, 2, and 3 in two patients. There was no significant decrease in effusion in the magnetic resonance imaging MRI at 1 month after the PAA  p  0.117. A significant decrease in effusion was observed in the MRI taken at the last control  p  0.001. Conclusions: In the treatment of patients with ankle pain associated with OT and FHL tenosynovitis, the two-portal PAA treatment was observed to be an effective method that resulted in significant improvement in the AOFAS and VAS scores.

 Objectives: This study investigated the effect of two portal posterior ankle arthroscopy PAA procedures using American Orthopaedic Foot and Ankle Society AOFAS and Visual Analog Scale VAS scores for the treatment of patients with ankle pain associated with Os trigonum OT and Flexor hallusis longus FHL tenosynovitis. The effect of PAA treatment on the degree and localization of effusion around the FHL tendon was also investigated. Methods: Between March 2016 and August 2021, 41 patients who underwent PAA with the diagnosis of OT and stenosing FHL tenosynovitis, whose arthroscopy video records could be reviewed retrospectively, and who had at least 1 year of follow-up results were included in the study. Patients in the pediatric age group, diabetes patients, patients with inflammatory disease, and those with subtalar and tibiotalar osteoarthritis were excluded from the study. Preoperative and postoperative physical examinations, lateral radiography of the pressing foot, MRI, and the VAS and AOFAS scores were evaluated. In the statistical analysis, data were statistically analyzed using SPSS 19.0 SPSS, Chicago, Illinois, USA. p  0.05 was accepted as statistically significant. Results: The mean age was 35.6 years range: 19-55, among which the mean age of the women was 36.2 years range: 24-48, and the mean age of the men was 35.2 years range: 19-55. The mean follow-up was 34 months range: 14-62. The AOFAS value increased from 38.61  7.176 preoperatively to 89.83  6.34 at the postoperative follow-up, and the difference was statistically significant  p  0.001. Five patients fully regained their normal function AOFAS score  100 points. The VAS value increased from 90  5.916 preoperatively to 18.682  7.688 at the last postoperative follow-up, and the difference was statistically significant  p  0.001. Pre-PAA FHL tenosynovitis was seen only in zone 1 in 26 patients, zones 1 and 2 in 14 patients, and in zones 1, 2, and 3 in two patients. There was no significant decrease in effusion in the magnetic resonance imaging MRI at 1 month after the PAA  p  0.117. A significant decrease in effusion was observed in the MRI taken at the last control  p  0.001. Conclusions: In the treatment of patients with ankle pain associated with OT and FHL tenosynovitis, the two-portal PAA treatment was observed to be an effective method that resulted in significant improvement in the AOFAS and VAS scores.

 Objectives: This study investigated the effect of two portal posterior ankle arthroscopy PAA procedures using American Orthopaedic Foot and Ankle Society AOFAS and Visual Analog Scale VAS scores for the treatment of patients with ankle pain associated with Os trigonum OT and Flexor hallusis longus FHL tenosynovitis. The effect of PAA treatment on the degree and localization of effusion around the FHL tendon was also investigated. Methods: Between March 2016 and August 2021, 41 patients who underwent PAA with the diagnosis of OT and stenosing FHL tenosynovitis, whose arthroscopy video records could be reviewed retrospectively, and who had at least 1 year of follow-up results were included in the study. Patients in the pediatric age group, diabetes patients, patients with inflammatory disease, and those with subtalar and tibiotalar osteoarthritis were excluded from the study. Preoperative and postoperative physical examinations, lateral radiography of the pressing foot, MRI, and the VAS and AOFAS scores were evaluated. In the statistical analysis, data were statistically analyzed using SPSS 19.0 SPSS, Chicago, Illinois, USA. p  0.05 was accepted as statistically significant. Results: The mean age was 35.6 years range: 19-55, among which the mean age of the women was 36.2 years range: 24-48, and the mean age of the men was 35.2 years range: 19-55. The mean follow-up was 34 months range: 14-62. The AOFAS value increased from 38.61  7.176 preoperatively to 89.83  6.34 at the postoperative follow-up, and the difference was statistically significant  p  0.001. Five patients fully regained their normal function AOFAS score  100 points. The VAS value increased from 90  5.916 preoperatively to 18.682  7.688 at the last postoperative follow-up, and the difference was statistically significant  p  0.001. Pre-PAA FHL tenosynovitis was seen only in zone 1 in 26 patients, zones 1 and 2 in 14 patients, and in zones 1, 2, and 3 in two patients. There was no significant decrease in effusion in the magnetic resonance imaging MRI at 1 month after the PAA  p  0.117. A significant decrease in effusion was observed in the MRI taken at the last control  p  0.001. Conclusions: In the treatment of patients with ankle pain associated with OT and FHL tenosynovitis, the two-portal PAA treatment was observed to be an effective method that resulted in significant improvement in the AOFAS and VAS scores.

 Objectives: This study investigated the effect of two portal posterior ankle arthroscopy PAA procedures using American Orthopaedic Foot and Ankle Society AOFAS and Visual Analog Scale VAS scores for the treatment of patients with ankle pain associated with Os trigonum OT and Flexor hallusis longus FHL tenosynovitis. The effect of PAA treatment on the degree and localization of effusion around the FHL tendon was also investigated. Methods: Between March 2016 and August 2021, 41 patients who underwent PAA with the diagnosis of OT and stenosing FHL tenosynovitis, whose arthroscopy video records could be reviewed retrospectively, and who had at least 1 year of follow-up results were included in the study. Patients in the pediatric age group, diabetes patients, patients with inflammatory disease, and those with subtalar and tibiotalar osteoarthritis were excluded from the study. Preoperative and postoperative physical examinations, lateral radiography of the pressing foot, MRI, and the VAS and AOFAS scores were evaluated. In the statistical analysis, data were statistically analyzed using SPSS 19.0 SPSS, Chicago, Illinois, USA. p  0.05 was accepted as statistically significant. Results: The mean age was 35.6 years range: 19-55, among which the mean age of the women was 36.2 years range: 24-48, and the mean age of the men was 35.2 years range: 19-55. The mean follow-up was 34 months range: 14-62. The AOFAS value increased from 38.61  7.176 preoperatively to 89.83  6.34 at the postoperative follow-up, and the difference was statistically significant  p  0.001. Five patients fully regained their normal function AOFAS score  100 points. The VAS value increased from 90  5.916 preoperatively to 18.682  7.688 at the last postoperative follow-up, and the difference was statistically significant  p  0.001. Pre-PAA FHL tenosynovitis was seen only in zone 1 in 26 patients, zones 1 and 2 in 14 patients, and in zones 1, 2, and 3 in two patients. There was no significant decrease in effusion in the magnetic resonance imaging MRI at 1 month after the PAA  p  0.117. A significant decrease in effusion was observed in the MRI taken at the last control  p  0.001. Conclusions: In the treatment of patients with ankle pain associated with OT and FHL tenosynovitis, the two-portal PAA treatment was observed to be an effective method that resulted in significant improvement in the AOFAS and VAS scores.

Makale detayları

Clinical and radiological results of posterior ankle endoscopy treatment for the flexor hallusis longus tenosynovitis and os trigonum syndrome

Yazarlar: Murat Saylık

Yayıncı: Prusa Medical Publishing

Ana Başlıklar: Orthopaedics

Dergi: The European Research Journal Vol.9 Issue 1, pp.155-163

Belge Tipi: Makale

Yayın Tarihi: 4/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001281614

pISSN: 2149-3189

Ankle

arthroscopy

flexor hallusis longus

os trigonum

Sayı

Yazarlar:

Murat Saylık

Yayıncı:

Prusa Medical Publishing

Ana Başlıklar:

Orthopaedics

Dergi:

The European Research Journal Vol.9 Issue 1, pp.155-163

Belge Tipi:

Makale

Yayın Tarihi:

4/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001281614

pISSN:

2149-3189